Chapter 520: I Love to Slap My Face! (Ask for subscription)

Looking at the angry and corrupt appearance of these Huaxia doctors, Anderson and the others were very happy in their hearts!

In fact, the whole association didn't want Academician Wang and Xu Wendong to become one of the high-level leaders at the beginning, but because their contributions in this field were too high, they still had the qualifications to come in!

Now they want to find a young doctor to get into the top, do they agree? Definitely not!

Not to mention the 26-year-old doctor, aren't you boasting that he is very good? If this can be solved, they will be convinced!

If you can't, hehe, where to get out there!

This is the case with human society.

It's too complicated.

Ruan Bin looked at the sinister faces of this group of ghosts, and he said, Well, the day before yesterday, why did this group of grandsons smile so badly, hiding a knife in their hearts. MMP, I'll do this for him today.

Indeed, his unaffected side neck 7 nerve transfer bypass surgery has only obvious surgical effect on the paralysis of the left and right hands of the upper body.

For patients with total paralysis, this surgery obviously cannot be fully covered!

"Ding-dong...... Temporary Task of the System: Slap the Foreigner in the Face! Successful mission rewards 10 lucky draw chances. ”

"Even if the system task doesn't come, Lao Tzu has to fight! Since there are still task rewards, then you have to work harder. Ruan Bin said secretly in his heart.

He is currently not very sure about treating patients who have been paralyzed after a stroke. After all, 7 nerve transfer bypass surgery on the healthy side of the neck is not very effective for paralysis of the lower limbs!

It mainly has a noticeable effect on the upper body.

If Ruan Bin wants to solve this kind of parapleic patient, the first is to combine other surgeries, and the second is to thoroughly understand the patient's current condition before he can make a correct judgment and think of a way!

"I'll go find out about this patient first. Ruan Bin said indifferently.

As soon as this sentence came out, everyone was shocked!

Especially Academician Wang and Xu Wendong!

The signal of this sentence is that you don't give up and want to give it a try?

"Ruan Bin, this is a stroke patient with paralysis of both upper and lower limbs, can you do the 7 nerve transfer bypass surgery on the healthy side of the neck? I remember that you have not operated on a patient who is paralyzed, right?" Xu Wendong said with some astonishment. He said it in Chinese, which is equivalent to asking Ruan Bin directly if he is sure.

What he meant was that your 7 nerve transfer bypass surgery on the healthy side of the neck should not be of much help to paralyzed lower limbs, and you are sure to challenge it?

Isn't this hard-mouthed!

Since he knows that there is no hope, it is better to give up as soon as possible and leave early, MMP, he is too lazy to stay here.

"Let's see the patient's condition first!" Ruan Bin said.

"Do you have a way?" said Academician Wang.

"Not yet, but the solution is coming up. Ruan Bin smiled.

"Haha...... I think you're a little sure when you say that!" Academician Wang laughed.

"What are you talking about?" Shivani asked, frowning. He couldn't help but ask when he saw the three men muttering something.

"Let's get to know the patient first. ”

After seeing Ruan Bin's reconfirmation, the expressions of this group of foreigners became exciting!

"Is this man sure?" said Anderson, with a strange expression. He had consulted a lot of information about Ruan Bin before, and he had never had surgery for total paralysis anyway!

Because of Ruan Bin's more than 100 surgery videos posted on the Internet, all of them are patients with upper limb paralysis.

And he has also studied this unaffected neck 7 nerve transfer bypass surgery, which is impossible for paraplegia patients!

So how does the other party have such confidence?

Although the other party didn't say that he would have surgery, he heard that he had to go to see the condition if he was completely paralyzed, so he was a little sure in his heart?

Apriler looked at the young man in front of him, and said secretly in his heart: "If he can succeed if he is completely paralyzed, then not only will he become a director, but he will also slap us in the face and show us a wave in front of us...... When the time comes......"

"No, no, no, he definitely doesn't have that certainty! Our people in the whole association have not yet completely overcome this problem, he, how can he overcome it? He is not God!"

Thinking of this, April's heart was relieved again.

Since this was all the case, everyone followed Ruan Bin to the ward.

Ruan Bin first checked the patient's condition in the ward, and directly threw away the general diagnosis to carefully diagnose him, and then see which part of his body was most paralyzed, where he was fine, and where he had other problems......

After watching it for about half an hour, Ruan Bin already knew it in his heart.

Then I went to the consultation room and slowly looked at the patient's latest test results.

He found that the patient had hemiplegia of the left upper and lower limbs for 3 years after the right cerebral infarction. Left lower limb muscle strength grade 2, right lower limb muscle strength grade 3, left upper limb Fugl-MRYER score of 6 points, preoperative head MRI showed right parietal lobe malacia, head diffusion tensor imaging (DTI) showed a significant reduction in the right conduction tract, and brachial plexus MRI showed no variation.

It is said to be total paralysis, but it is actually quadriplegia! But quadriplegia is almost total paralysis.

You've been in bed for the rest of your life anyway.

Nothing can be done!

And the left lower limb level 2 and the right lower limb are both muscle strength level 3, and the situation is a bit tricky!

The grading standard of general muscle strength is divided into 0-5 levels, a total of 6 levels, as follows:

Grade 0: The muscles do not contract, and they cannot produce muscle movement at all, that is, it is usually said that you have no feeling at all in your feet, and you can't move a little.

Grade 1: Slight contraction of the muscles may cause the joints to move, and the patient's small joints can move.

Level 2: The muscles can move in the direction of the plane, that is, the limbs can be translated in the bed, that is, the feet can move slightly while lying on the bed, but they can't get out of bed, because they can't support the weight, which is equivalent to paralysis!

Level 3: The muscles can resist a little gravity and can perform the movement of lifting up and down, i.e. the flat limbs can leave the bed and stand on crutches.

Level 4: The limb is completely able to resist gravity, but cannot resist a certain resistance, that is, the limb can be lifted off the bed, but it cannot be lifted up when gently pressed by hand;

Grade 5: Able to move limbs like a normal person and have normal muscle strength.

Seeing these situations, Ruan Bin frowned.

From the above analysis, due to the stroke of the right cerebral infarction, the left upper limb and the left lower limb are paralyzed. As for the paralysis of the right lower limb and right upper limb, it is due to the impairment of the descending inhibitory system of the brain in patients with spastic cerebral palsy→ resulting in a weakened inhibitory effect on motor neurons→ increased sensitivity to muscle sensory stimuli→ causing muscle spasmodic contractions.

"If medicine solves the problem of the right upper limb and right lower limb, the problem of damage to the inhibitory system must be solved!" Ruan Bin said secretly in his heart.